Evidence map›Paper›PMID 27217282›Full record

ArticleBMJ open2016

Factors that shape the patient's hospital experience and satisfaction with lower limb arthroplasty: an exploratory thematic analysis.

J V Lane, D F Hamilton, D J MacDonald, C Ellis, C R Howie

Abstract read
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Study of the interactions between proximal femur 3d bone shape, cartilage health, and biomechanics in patients with hip Osteoarthritis.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2018
    Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

J V LaneSchool of Health Sciences, Queen Margaret University, Edinburgh, UK.
D F HamiltonDepartment of Orthopaedics and Trauma, University of Edinburgh, Edinburgh, UK.
D J MacDonaldDepartment of Orthopaedics and Trauma, University of Edinburgh, Edinburgh, UK.
C EllisSchool of Health Sciences, Queen Margaret University, Edinburgh, UK.
C R HowieDepartment of Orthopaedics and Trauma, University of Edinburgh, Edinburgh, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIt is generally accepted that the patients' hospital experience can influence their overall satisfaction with the outcome of lower limb arthroplasty; however, little is known about the factors that shape the hospital experience. The aim of this study was to develop an understanding of what patients like and do not like about their hospital experience with a view to providing insight into where service improvements could have the potential to improve the patient experience and their satisfaction, and whether they would recommend the procedure.

designA mixed methods (quan-QUAL) approach.

settingLarge regional teaching hospital.

participants216 patients who had completed a postoperative postal questionnaire at 12 months following total knee or total hip arthroplasty. OUTCOME MEASURES: Overall satisfaction with the outcome of surgery, whether to recommend the procedure to another and the rating of patient hospital experience. Free text comments on the best and worst aspects of their hospital stay were evaluated using qualitative thematic analysis.

resultsOverall, 77% of patients were satisfied with their surgery, 79% reported a good-excellent hospital experience and 85% would recommend the surgery to another. Qualitative analysis revealed clear themes relating to communication, pain relief and the process experience. Comments on positive aspects of the hospital experience were related to feeling well informed and consulted about their care. Comments on the worst aspects of care were related to being made to wait without explanation, moved to different wards and when they felt invisible to the healthcare staff caring for them.

conclusionsPositive patient experiences were closely linked to effective patient-health professional interactions and logistics of the hospital processes. Within arthroplasty services, the patient experience of healthcare could be enhanced by further attention to concepts of patient-centred care. Practical examples of this include more focus on developing staff-patient communication and the avoidance of 'boarding' procedures.

Indexed as

Patient SatisfactionAgedAged, 80 and overArthroplasty, Replacement, HipArthroplasty, Replacement, KneeAttitude of Health PersonnelCommunicationContinuity of Patient CareFemaleHumansLength of StayMaleMiddle AgedQualitative ResearchQuality of Health CareRisk FactorsQUALITATIVE RESEARCH

Identifiers

PMID27217282
PMCPMC4885464

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.